The nurse is working with families who have been displaced by a fire in an apartment complex. What is the priority intervention during the initial assessment?
Answer(s): A
After physical needs of housing, clothing and food are met, the nurse should focus on assisting clients to manage the psychological effects of loss.
The nurse suspects an elderly client has been the victim of abuse. The client denies abuse and declines assistance.The nurse’s next action should be to ______________.
Answer(s): D
Although clients do have the right to refuse treatment, the nurse should remain nonjudgmental and inform the client of available services.Frequently elders are not aware of existing programs.
When questioning an elder about suspected abuse, the nurse should keep the questions ______________.
Questions about suspected should be direct and nonconfrontational. Indirect questions encourage denial.
What is the reason for a contract between nurse and client?
A contract emphasizes that the nurse works with the client, rather than doing something for the client. Working withsuggests that each party is expected to participate and share responsibility for outcomes.Contracts do not,however, stipulate roles or feeling tone, nor is premature termination expressly forbidden.
The nurse can best communicate to a client that he or she has been listening by ______________.
Restating allows the client to validate the nurse’s understanding of what has been communicated. It’s an active listening technique.Regarding Choice “making a judgment about the client’s problem”, judgments should be suspended in a nurse- client relationship.Choice “offering a leading such as, “And then what happened?” is incorrect because leading questions ask for more information rather than showing understanding.Choice “saying, “I understand what you’re saying.” communicates understanding, but the client has no way of measuring the understanding.
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